Tanveer Rab et al. JCIN 2017;10:

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Presentation transcript:

Tanveer Rab et al. JCIN 2017;10:849-865 Double Kissing Crush or DK Crush Technique (1) Side branch (SB) stenting with short main branch protrusion of 2 to 3 mm. Balloon maintained in main branch across SB ostium. (2) SB stent balloon crush by main vessel balloon. (3) SB wire withdrawal. (4) SB wire proximal recrossing. (5) High-pressure dilatation of SB ostium followed by first kissing balloon inflation. (6) Main branch stenting across the SB after SB wire is removed. (7) Proximal optimization technique (POT). (8) Second SB wire recrossing through the main branch stent and the crushed SB stent. (9) Sequential balloon inflations to 16 atmospheres followed by second kissing balloon inflations to 12 atmospheres each, followed by simultaneous deflations. (10) Re-POT. (11) Final result. LCX = left circumflex coronary artery; LM = left main coronary artery. Tanveer Rab et al. JCIN 2017;10:849-865 2017 American College of Cardiology Foundation